Individual
JESSE J KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 841-0002
(715) 841-0003
Mailing address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061032
—
WI
Enumeration date
09/01/2016
Last updated
02/18/2026
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